NPI 1053427682

Lisa M Soboleski, PA

Practitioner Physician Assistant Wauwatosa, WI

Practice location

Address: 1220 Dewey Ave, Wauwatosa, WI 53213-2504
Phone: (414) 454-6600
Fax: (414) 454-6450

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 763 (WI)

Other Physician Assistant providers in Wisconsin →

Registry record

NPI: 1053427682
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2006
Record last updated: 19 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.